Colorectal cancer screening and familial risk: a survey of internal medicine residents' knowledge and practice patterns.
Colorectal cancer screening and familial risk: a survey of internal medicine residents' knowledge and practice patterns.
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结直肠癌筛查和家族风险：内科住院医师知识和实践模式调查。
DOI：
10.1111/j.1572-0241.2003.07481.x
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发表时间：
2003
期刊：
影响因子：
--
通讯作者：
Schroy3rd,PaulC
中科院分区：
文献类型：
--
作者：
Barrison,AdamF;Smith,Christopher;Oviedo,Jaime;Heeren,Timothy;Schroy3rd,PaulC
OBJECTIVE:Risk stratification is essential to the appropriate use of colorectal cancer screening recommendations. The principal objective of this study was to assess the knowledge and screening behavior of internal medicine (IM) residents regarding familial colorectal cancer.METHODS:We conducted a survey of IM residents in their second and third year of postgraduate training from two university-based programs (n= 127). The survey instrument assessed physician knowledge of screening recommendations and current practices for individuals with a family history of colorectal cancer, adenomatous polyps, familial adenomatous polyposis, and hereditary nonpolyposis colorectal cancer. The instrument also elicited data regarding familial risk assessment, documentation, and notification of at-risk family members.RESULTS:Eighty-one IM eligible residents (81%) completed the survey. Most respondents identified a family history of colorectal cancer as an important factor in assessing colorectal cancer risk and appropriately implemented relevant screening recommendations. However, for patients with a family history of adenomatous polyps diagnosed before age 60 yr, knowledge and adherence to recommendations advocating screening at age 40 was relatively poor. More importantly, for patients with familial adenomatous polyposis and hereditary nonpolyposis colorectal cancer, respondents lacked the necessary risk assessment skills and knowledge to appropriately implement current recommendations. There were no consistent differences in knowledge or screening behavior when stratified on the basis of program site or postgraduate year status.CONCLUSION:Many IM residents are deficient in their knowledge, risk assessment skills, and screening practices for patients at familial risk of colorectal cancer. Effective educational strategies that promote awareness regarding familial risk, risk assessment skills, and appropriate use of relevant screening guidelines are needed.
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住院医师的结直肠癌筛查可能依赖于门诊护理教育
影响因子：
3.1
作者：
M. Borum
通讯作者：
M. Borum
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DOI：
--
发表时间：
1999
期刊：
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology.
影响因子：
--
作者：
Petersen,GM;Larkin,E;Codori,AM;Wang,CY;Booker,SV;Bacon,J;Giardiello,FM;Boyd,PA
通讯作者：
Boyd,PA
遗传性胃肠道息肉病和非息肉病综合征。
DOI：
10.1056/nejm199412223312507
发表时间：
1994
期刊：
The New England journal of medicine
影响因子：
--
作者：
A. Rustgi
通讯作者：
A. Rustgi
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影响因子：
2.8
作者：
D. Haber
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D. Haber
影响因子：
158.5
作者：
Aaltonen, LA;Salovaara, R;ValKamo, E
通讯作者：
ValKamo, E